- University of Miami (Miami, FL)
- …RN - Full Time The University of Miami is currently seeking a Prior Authorization Nurse Case Manager . The incumbent purose is to conduct initial chart ... reviews for medical necessity and identify the need for authorization . The nurse coordinates with the healthcare...Adhere and perform timely prospective reviews for services requiring prior authorization + Follows the authorization… more
- University of Miami (Miami, FL)
- …CORE FUNCTIONS: + Adhere and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for continuation of ... conducts initial, concurrent and retrospective chart reviews for clinical utilization and authorization . The Utilization Review Case Manager coordinates with the… more
- AdventHealth (Bolingbrook, IL)
- …management and resolution skills + Teamwork principles + Registered Nurse ( RN ) Required + Certified Case Manager (CCM) Preferred + Accredited Case ... prior to the discharge of the patient. The RN Care Manager is responsible for optimal...standard work. + Communicates with Payors patients needs for authorization for post-acute care as needed. + Assesses patients… more
- Mayo Clinic (Rochester, MN)
- …rounds and collaborates to potentially impact length of stay. The Registered Nurse ( RN ) Case Manager works within an interdisciplinary team to ... Competitive retirement package to secure your future. **Responsibilities** The RN CASE MANAGER provides ongoing support to...entry-level associate degree registered nurses with a RN start date prior to April 1,… more
- LA Care Health Plan (Los Angeles, CA)
- Registered Nurse ( RN ) Manager , Appeals and Grievances General Operations (Clinical) Job Category: Clinical Department: CSC Appeals & Grievances Location: ... presentations. Excellent verbal, written communication and presentation skills. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and… more
- Mayo Clinic (Rochester, MN)
- …to Mayo Clinic, regardless of experience, will receive an extensive orientation program. The registered nurse ( RN ) is accountable for the coordination of ... provision of patient care. The team is comprised of nurse manager , clinical nurse specialist,...entry-level associate degree registered nurses with a RN start date prior to April 1,… more
- Mayo Clinic (Rochester, MN)
- …be scheduled from 7:30 am to 4:30 pm. The Outpatient Desk staff includes a Nurse Manager **,** registered nurses, patient care assistants, a desk supervisor, ... basis, and staffing is adjusted to meet workload. The registered nurse ( RN ) is accountable...entry-level associate degree registered nurses with a RN start date prior to April 1,… more
- Louisiana Department of State Civil Service (Kinder, LA)
- REGISTERED NURSE 1, 2, OR 3 Print...employee may be required to serve a trial detail prior to being permanently promoted + TEMPORARY JOB APPOINTMENT: This ... (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4780542) Apply REGISTERED NURSE 1, 2, OR 3 Salary...license, or DD-214 must be verified by official documentation prior to hire. + Any qualifying experience that is… more
- Louisiana Department of State Civil Service (St. Gabriel, LA)
- REGISTERED NURSE 1, 2, OR 3 Print...employee may be required to serve a trial detail prior to being permanently promoted. + TEMPORARY JOB APPOINTMENT: This ... (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4776430) Apply REGISTERED NURSE 1, 2, OR 3 Salary Depends on Qualifications Location St.… more
- aptihealth (Clifton Park, NY)
- …curiosity and collaboration + Priding ourselves in being diverse and inclusive The Role The Registered Nurse Case Manager team at AptiHealth is pivotal to ... program, Bachelor's degree preferred + Currently licensed as a Registered Nurse in New York + Current...appropriate care team member + Assist prescribers with medication prior authorization , coordination with pharmacy, medication refill… more
- Louisiana Department of State Civil Service (Angie, LA)
- REGISTERED NURSE 1, 2 or 3 (WAE)...license, or DD-214 must be verified by official documentation prior to hire. + Any qualifying experience that is based ... Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4777670) Apply REGISTERED NURSE 1, 2 or 3 (WAE) Salary $4,177.00 - $7,518.00 Monthly… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse Case Manager ...hospitals and physicians throughout the nation. Job Description: The RN Case Manager is responsible to facilitate ... support admission, level of care, length of stay and authorization for post-acute services . Advocates for the patient...management experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
- Project Renewal, Inc. (New York, NY)
- Title: Nurse Care Manager for Drug User...the buprenorphine census) Qualifications: + Active New York State Registered Nurse ( RN ) license + ... C infection. Position Overview: Project Renewal is seeking a Nurse Care Manager (NCM) for Drug User...to track prescribing and pharmacy fill history + Insurance authorization and troubleshooting coverage issues + Relationship building and… more
- North Shore Community Health (Salem, MA)
- …opening for a Registered Nurse . Under the general direction of the Clinical Nurse Manager , the Registered Nurse will provide direct and indirect ... Registered Nurse Salem, MA (http://maps.google.com/maps?q=47+Congress+Street+Salem+MA+USA+01970) Description...when needed within the scope of nursing practice, including prior authorization forms . Provides health education… more
- Trinity Health (Syracuse, NY)
- …- 4pm 104 Union Ave ste 1005 Syracuse, NY 13203 MOC building 10th floor ** Registered Nurse Scheduler** The RN Scheduler contributes to the overall success ... a safe surgical plan is in place 5-7 days prior to DOS. In addition, the RN ...class regulations. **Education, Training, Experience, Certification and Licensure:** + Registered Nurse with current licensure in New… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …coverage denials cannot be overturned. + Appropriately escalates complex cases to Drug Authorization Supervisor or Manager of Prior Authorizations. + ... environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and appeals processes and serve as a liaison and… more
- State of Massachusetts (Boston, MA)
- The Massachusetts Mental Health Center is seeking a talented and experienced Registered Nurse to join our diverse team of mental health providers at our thriving ... pharmacies. * Provides clinical documentation to insurers to obtain prior authorization /approval for medications/treatment as needed. *...by discussing strategies for achieving these goals with the Nurse Manager , and serving as a role… more
- US Tech Solutions (Columbia, SC)
- **Job Description:** + Must be an RN in SC and have an active and unrestricted SC RN license. + Hours/Schedule - Monday - Friday, 8:30AM-5PM + Onsite for 3-4 ... new policies/issues that need to be acknowledged immediately. + Skill sets/qualities: Prior UM and/or case management experience, prior hospital experience.… more
- Albany Medical Center (Albany, NY)
- …approach (ICU or floor admitting MD/Pharmacy/ Nurse Manager /Clinical Nurse Specialist/Consulting MD), prior authorization , protocols for inpatient ... of prior clinical nursing experience is required Registered Nurse ( RN ) - Full...or floor admitting MD/Pharmacy/ Nurse Manager /Clinical Nurse Specialist/Consulting MD), prior authorization ,… more
- AdventHealth (Altamonte Springs, FL)
- …: Remote **The role you will contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing ... payor authorization processes as required, ensuring proper authorization has been secured prior to or...**The expertise and experiences you'll need to succeed:** + RN - Registered Nurse -… more
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